Has NA gone wrong |
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06/21/2004 23:07
Howardnot registered
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06/21/2004 23:07
Howardnot registered
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Has NA gone wrong
My hand surgeon has implied that he has to correct many of the French opperations that have gone wrong and they should have had surgery in the first place and has told me not to wast my time. Any comments would be appreciated. Howard
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06/21/2004 23:48
Anonnot registered
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06/21/2004 23:48
Anonnot registered
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Scare tactics
If you are from North America you doctor is simply lying. 1) There are not enough people in North America who have NA for a surgeon to be able to say that. 2) If a person who had NA encountered such problems then they would have posted their frustration on this website 3) The doctor wants your business 4)The doctor is trying to sway you away from NA because they themselves don't know anything about it
I have not heard of any problems with NA in the *FOUR* years that I have regularly been on this forum.
Keep reading and learning about NA most (all?) of us here have had their md's and surgeons try and turn us away from NA but we persevered, and had it done, and were amazed with the results.
Good luck with your decision. Anon
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06/21/2004 23:57
Randy H. not registered
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06/21/2004 23:57
Randy H. not registered
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Head in Sand (or somewhere else)
Howard:
The track record for NA Vs Traditional Invasive Surgery is listed below. This info was taken from the following French site:
http://www.dupuytren.org/html/gbsommaire.html ______________________________________________________
IS NEEDLE APONEVROTOMY DANGEROUS?
Percutaneous fasciotomy has been criticized by many surgeons for putting patients at risks.
However, we have proved that accidents are very rare.
Within our twenty years' practical experience, only five flexor tendon ruptures and very few severe collateral nerve damage have been recorded (about 1 for 2000 hands).
Minor adverse events were as follows : cracks and breaks of skin, early recurrences, minor infections, tingling of the finger and hoematoma.
On the other hand, surgical treatment is reported as causing serious damage: severed nerves (5%), deep necrosis (2%), severed arteries (2%) and sympathetic reflex dystrophy (2%).
________________________________________________________
American hand surgeons seem to assume that the traditional surgery they perform is irreplaceable. Though today's surgery is a highly refined and perfected version of the original first performed in France nearly 200 yeas ago, it' still just as invasive. In spite of the above statistics and the overwhelming success of Dr. Eaton (FL) who was trained in France, the insistence of American surgeons that the "needed treatment doesn't work" is about as ignorant as saying the Earth Is Flat. Apparently these guys could see a picture of the Earth from space and conclude that it's a fake.
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06/21/2004 23:05
anonnot registered
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06/21/2004 23:05
anonnot registered
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imaging ahead of NA
My hand sugeons have told me the biggest reservation they have with NA is that it is blind and could hit the nerve and sever it. But one dr is looking into the possibility that the latest imaging technology could see where the nerve bundles are located ahead of time so I would have a map so to speak for Dr. Eaton to know where the bundles are located and avoid them to further reduce that nerve risk.
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06/23/2004 23:01
Briannot registered
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06/23/2004 23:01
Briannot registered
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Needle trauma
In previous posts on the Lariboisiere web site, unfavorable outcomes were ascribed to: advanced contractures and to non-compliant patients who resumed strenuous hand activity immediately. Another category was PIP joint involvement. The innervation to the palm is relatively large in diameter; the finger nerves are smaller. The 25 guage needle can penetrate nerve "bundles" with minimal damage. Smaller nerves and/or nerve bundles may evidence more dysthesia or parathesia (pain or partial loss of sensation) on a temporary or permanent basis. I think that the larger category of "unfavorable outcomes" involving "rupture" are tendons that may have been chronically inflamed and after NA, the patients resumed jack-hammering or something similar within a few days of treatment. The doctors are well-trained and experienced. They obtain informed consent. The risk is similar to a dental visit involving anesthetic injections. Incidentally, that is a "blind" procedure also. Fortunately, four years of post graduate education minimizes the likelihood of traumatc consequences. Read about the NA procedure, meet a practioner, get comfortable and have Dupe treated.
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06/24/2004 23:44
Randy H. not registered
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06/24/2004 23:44
Randy H. not registered
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Risks NA vs Surgery
Treating PIP contractions of the pinkie is the most difficult of all Dups corrections, whether surgically or with NA. Surgically, the likelihood of nerve damage is so high that my surgeon told me before gong under that I would probably have some permanent loss of feeling in that finger. He was correct. I believe NA has a better track record that surgery when it can be effective for pinkie/PIP. If BioSpecific's Codrease is proven save and effective it might become the first choice for pinkie/PIP. If you can.............grow your Dups somewhere else :-)
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06/24/2004 23:36
George Barbarownot registered
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06/24/2004 23:36
George Barbarownot registered
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Risks NA vs Surgery
If we were able to fond someone that was not pleased with NA or lost feeling in a finger would that make a difference ?
The ease of NA and the fact that it can be repeated if needed together with the traumatic old fashioned palm incision and zigzag incisions in each finger golowed by splints and the requiring physical therapy make the choice obvious.
There are many horror stories about surgery resulting in useless and disfigured hands from the knife it seems unlikely that the needle procedure could produce that degree of deformity.
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06/25/2004 23:24
Randy H.not registered
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06/25/2004 23:24
Randy H.not registered
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Risks
Amen, Brother. What else can be said?
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07/06/2004 23:06
Pattynot registered
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07/06/2004 23:06
Pattynot registered
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Risks
I went to my hand surgeon yesterday for a check up, and I also brought all of the information on the NA with me and discussed it with him. He said he has other patients that have brought it up too. He did what I expected, and told me of all the dangers of the procedure, and how it was not the accepted treatment in his field, in this country. He told me of all the things that could happen with this Blind treatment. I don't know what else I expected. I hoped, I guess that he would be open to it, but he was not. I just hope in the next few years, these doctors will come to learn more, and begin to use NA as the regular treatment for this disease. They are still in the dark ages with this.
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07/06/2004 23:16
Stevenot registered
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07/06/2004 23:16
Stevenot registered
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my docs....
I saw 4 surgeons in Boston prior to having NA last week. 1 was completely against it and said dup would come back worse than ever afterwards. The others were concerned about quick reoccurance or possible nerve damage but were at least willing to admit if I took the risk of hitting a nerve that it would be a reasonable place to start my treatment and I could always have surgery later if NA didn't work to my satisfaction. They semi-endorsed what I was doing as long as I knew the risks - and they admitted there are risks to traditional surgery too. I think if I don't get reoccurance quickly, one dr may consider doing it himself as he just had seen the segmental procedure done surgically years ago and that it came back rather quickly (under 6 months) so he thought results would be similar for NA.
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